Provider Demographics
NPI:1497028856
Name:JOSEPH, SHARI ANN (RPH)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:ANN
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 VIENNA DR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-3145
Mailing Address - Country:US
Mailing Address - Phone:408-504-1873
Mailing Address - Fax:
Practice Address - Street 1:19661 HESPERIAN BLVD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-4200
Practice Address - Country:US
Practice Address - Phone:510-731-0001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA66713183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist